Provider Demographics
NPI:1346829165
Name:ARB PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:ARB PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:ROWE
Authorized Official - Last Name:BOGANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-205-9566
Mailing Address - Street 1:#102 95 WASHINGTON ST.
Mailing Address - Street 2:STE 104
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2515
Mailing Address - Country:US
Mailing Address - Phone:781-205-9566
Mailing Address - Fax:
Practice Address - Street 1:42 HARDING STREET
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-0206
Practice Address - Country:US
Practice Address - Phone:781-205-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty